How much rates vary
Facilitymedian $40 · 10th to 90th $28 to $148Professionalmedian $47 · 10th to 90th $31 to $126
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $46.77 | Facility | None | $27.54 | $35.48 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $46.77 | Professional | None | $27.54 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $112.20 | Professional | None | $34.67 | $46.77 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $70.79 | Professional | None | $45.71 | $66.07 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $251.19 | Facility | None | $147.91 | $169.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $125.89 | Professional | None | $61.66 | $100.00 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $91.20 | Facility | None | $38.02 | $51.29 | $91.20 |
DeanCare Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $79.43 | Professional | None | $54.95 | $61.66 | $79.43 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $91.20 | Facility | None | $38.02 | $61.66 | $91.20 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $269.15 Typical High $323.59 | Professional | None | $100.00 | $269.15 | $323.59 |
Network Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Network Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | None | $40.74 | $40.74 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $91.20 | Facility | None | $38.02 | $51.29 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $120.23 | Professional | None | $42.66 | $69.18 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $87.10 | Professional | None | $47.86 | $61.66 | $87.10 |
Security Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $52.48 | Professional | None | $35.48 | $35.48 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $93.33 | Professional | None | $36.31 | $54.95 | $93.33 |
The Alliance Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $144.54 | Professional | None | $66.07 | $109.65 | $144.54 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $114.82 | Professional | None | $40.74 | $58.88 | $114.82 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $23.44 | Facility | 52 · Reduced service | $18.20 | $18.20 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $18.20 | $23.44 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $10.00 Typical High $12.88 | Professional | 80 · Assistant surgeon | $8.91 | $10.00 | $12.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $10.00 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $8.91 | $10.00 | $12.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $10.00 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $10.00 | $12.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $8.71 Typical High $11.22 | Professional | AS · PA/NP assist | $7.76 | $8.71 | $11.22 |
Where Wisconsin sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 18th of 51
$46.77
ND $77.62OK $29.51
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.